Individual
MR. GARY WILLIAM BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
16200 E US HIGHWAY 24, INDEPENDENCE, MO 64056-1521
(816) 257-1700
Mailing address
1322 AMESBURY AVE, LIBERTY, MO 64068-3238
(816) 781-4805
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041818
MO
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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